NPIMap

Organization Active NPI

Stout Chiropractic Clinic, P. a.

  • Chiropractor
  • Grove, OK
National Provider Identifier
1962581777
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3386 Issued in OK
Legal business name
STOUT CHIROPRACTIC CLINIC, P. A.
Practice address
1107 E 13TH St
Suite a&B
Grove, OK 74344-7955
Phone
(918) 786-8834
Fax
(918) 786-6520
NPI assigned
Nov 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Larry Eugene Stout, D.C.NPI 1194734343
Title
President
Phone
(918) 786-8834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3386 OK Primary

Addresses

Primary practice location

1107 E 13TH St
Suite a&B
Grove, OK 74344-7955

Mailing address

PO Box 6987
Grove, OK 74344-6987
Phone (918) 786-8834

National Provider Directory

National Provider Directory

Locations

1107 E 13th St
Ste A
Grove, OK 74344
Phone (918) 786-8834

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962581777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6987",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743446987",
            "telephone_number": "918-786-8834",
            "fax_number": "918-786-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 E 13TH ST",
            "address_2": "SUITE A&B",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743447955",
            "telephone_number": "918-786-8834",
            "fax_number": "918-786-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOUT CHIROPRACTIC CLINIC, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-786-8834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.